Candidate Information Form - Muscogee County Democratic Committee
We encourage candidates who are running for office as Democrats to complete and submit this form electronically.

You are encouraged to print the form for your own records before submitting it. Your answers cannot be changed or revised after they are submitted. Please include whether you are running for nonpartisan office and if you'd like our endorsement.

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Email *
First name
Middle name
Last name
Full name as registered to vote
Address Where Registered to Vote
Date of Birth
Submission of this information is optional. However, it may help us to verify your voter registration, particularly if there is another voter with the same name living at your address who is a member of another political party. Example: December 15, 2012.
MM
/
DD
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YYYY
Sex and gender
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Race/ethnicity
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Do you consider yourself Latino/a/x
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Telephone
Please list a number where we can reach you on and before the day of the interviews.
Mailing Address
Campaign Manager Name
Campaign Manager Address
Campaign Manager Phone
Campaign Manager Email
Treasurer Name
Treasurer Address
Treasurer Phone
Treasurer Email
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